1989-112-RES WHEREAS, CITY CONCIL HAS BEEN REQUESTED BY COMMISSIONERS COURT OF LAMAR COUNTY
RESOLUTION NO. 89-112
WHEREAS, the City Council of the City of Paris has been
requested by the Commissioners Court of Lamar County, Texas, to
provide the emergency medical services to that area of Lamar
County outside the city limits of the City of Paris; and,
WHEREAS, the form of contract to provide such service
is attached hereto as Exhibit A; NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
PARIS, that emergency medical services be extended to that
area of Lamar County outside the city limits of the City of
Paris, upon the terms and conditions stated in the contract
attached hereto as Exhibit A, and that the Mayor of the City
of Paris, Eric S. Clifford, be, and he is hereby authorized
and directed to execute on behalf of the City of Paris the
Emergency Medical Services Contract with the Commissioners
Court of Lamar County, Texas, in the form of Exhibit A
attached hereto.
Passed and adopted this 11th day of September, 1989.
d~- ~
Eric S. ifford, Mayor ___
ATTEST:
~~;:.,,~~~
Mattie Cunningham, C ty Cler
APPROVED
~.
T. K.
EMERGENCY MEDICAL SERVICES CONTRACT
STATE OF TEXAS ~
COUNTY OF LAMAR ~
This contract made and entered into this the 11th day of
September, 1989, by and between the CITY OF PARIS, Paris, Texas,
a body politic, acting by and through its Mayor, duly authorized,
hereinafter called City; and the COUNTY OF LAMAR, State of Texas,
acting by and through its County Judge, duly authorized,
hereinafter called County; hereby contract and agree as follows:
1. City covenants and agrees that it will furnish and
provide adequate emergency medical service vehicles and related
emergency medical services to all persons within the County of
Lamar, without regard to race, color, sex or national origin.
2. City covenants and agrees that it will comply with all
safety requirements of the law pertaining to the furnishing of
emergency medical service vehicles and emergency medical services
and that all vehicles used as emergency medical service vehicles
will be distinctly marked and colored as required by State law
and Ci ty ord inances. The emergency med ical serv ice shall be
referred to as "CITY OF PARIS EMERGENCY MEDICAL SERVICE" and the
vehicles used in providing said service shall bear the City of
Paris decal with the additional words, "serving PARIS and LAMAR
COUNTY."
3. City agrees that emergency medical service vehicle
attendants will be certified by the Texas State Department of
Health under the terms of the Emergency Medical Services Act,
Article 44470, Vernon's Texas Civil Statutes; that each emergency
medical service vehicle shall be staffed with at least two
emergency care attendants as required by Section 3.03, Subsection
5. City agrees that each vehicle used as an emergency
medical service vehicle shall be equipped with a two-way radio
wh ich transmits and rece i ves on frequenc ies des igna ted by the
FCC. The radio communications to and from said emergency medical
vehicles and central dispatch shall be in coordination with and
by the knowledge of the Lamar County Sheriff's Office, the Paris
Police Department, and McCuistion and St. Joseph Hospitals, with
each hospital furnishing its own radio equipment.
6. City agrees that all vehicles used for emergency
service and the equipment contained therein will meet or exceed
requirements mandated by the Texas State Department of Health
attached hereto as Exhibit A, and that all emergency medical
vehicles and accessory equipment shall be subject to inspection
by designated representative of the County, and if at any time
same are not in compliance with the provisions hereof, or if any
emergency medical vehicle is in need of mechanical repairs in
order to insure its satisfactory operation, the said vehicle must
be removed from service.
7. City agrees that it will answer all emergency calls
wi thin the limi ts of the City and County, and that no per son
within the City and County shall be refused emergency service,
and further agrees that transfer emergency service when directed
by a medical doctor will not be refused, and agrees to deliver
patients to McCuistion and St. Joseph Hospital in the following
manner:
(a) To the hospital that victim, his personal physician or
next of kin so designate, or
(b) To the nearest hospital from the point of pick up of
the victim when his personal physician or next of kin
cannot respond to the emergency medical vehicle
8. City agrees that at all times during the effective
period of this contract to have procured and kept in force and
effect policy or policies of public liability insurance covering
each motor vehicle operated under this contract in the minimum
amounts of $250,000.00 for bodily injury or death to anyone
person and $500,000.00 for all persons injured in anyone
accident or occasion and $100,000.00 for property damages arising
out of anyone accident or occasion.
9. City agrees to furnish the County Judge, Lamar County,
an annual operating statement relating to revenues, expenses,
call statistics, and the status of delinquent and uncollectable
accounts, and that all non-medical records of the services
rendered under this contract, and training and certification
records of all employees, be available for inspection and review
by such County Judge or his designated representatives, and to
furnish a quarterly report in the form of Exhibit B attached
hereto.
10. City agrees to operate the emergency medical service
operation in accordance with the requirements of State law and
applicable requirements of City and County as may be in effect.
11. City agrees that it will have a minimum of two (2)
emergency medical vehicles which meet the emergency medical
vehicle and equipment requirements as set out in Paragraph 6
above, manned with a crew of two (2) men each, available to the
citizens of the City and County twenty-four (24) hours per day,
seven (7) days per week.
12. County agrees that non-emergency transfer service form
points within the City or County to points inside or outside the
County will be made at the prerogative of the City; that
emergency medical service from points outside the County to any
contract on a cash basis, with the County making monthly payments
of $19,645.00 monthly towards the estimated 12 month term cost of
$235,740.00. The first of said monthly payments to be made on
the 1st day of October, 1989, with a like payment being made on
the first day of each month thereafter.
14. This agreement shall be effective and the term thereof
shall commence on the 1st day of October, 1989, and shall expire
on the 30th day of September, 1990.
15. It is further understood and agreed that neither the
County nor any of its agents, servants or employees shall be
considered to be in the business of providing emergency medical
service, and the relationship between the parties shall not be
considered to be that of a partnership or joint venture, and that
the status of the City shall be that of an independent contractor
providing services to the County and its inhabitants in exchange
for the payment of amounts herein set forth.
16. It is mutually understood and agreed between the
parties that the payments made by the County to City shall in no
way affect the right of City to collect the charges hereinafter
set out in Paragraph 17 from persons for emergency medical
service rendered, and it is expressly understood and agreed that
no one shall be entitled to free emergency medical service under
this contract, and diligent efforts shall be made to collect
accounts outstanding in keeping with good and ethical business
practices.
17. I t is understood and agreed that charges for services
rendered under the scope of this contract within the limits of
the City and County shall be per patient, per call, as follows:
The following rates are established for emergency medical
vehicle service for Lamar County residents:
3 .
EMERGENCY TRANSFER SERVICE
to a point outside the
City of Paris within a 125
mile radius
4 .
TRANSFER SERVICE
within Lamar County
5 .
PERSONAL PREFERENCE
TRANSFER SERVICE
to a point outside City
of Paris beyond a 125
mile radius
6 .
IN HOUSE TRANSFER
7 .
REQUESTED SERVICE
not used
$75.00 plus $2.00 per mile
from point of pickup to point
of delivery
$60.00 plus $2.00 per mile
from point of pickup to point
of delivery
$100.00 plus $2.00 per mile
from point of pick up to
point of delivery and for
return to point of origin
inside City of Paris
$50.00 from hospital to treat-
ment facility and return to
hospital
$30.00
The following rates are established for emergency
medical vehicle service for non residents of Lamar County:
8. ADVANCED LIFE SUPPORT (ALS)
within Lamar County
9. BASIC LIFE SUPPORT (BLS)
within Lamar County
10. EMERGENCY TRANSFER
SERVICE to a point
outside the City of Paris
within 125 mile radius
11. TRANSFER SERVICE
within Lamar County
12. PERSONAL PREFERENCE
TRANSFER SERVICE
to a point outside City
of Paris beyond 125
miles radius
13. IN HOUSE TRANSFER
14. REQUESTED SERVICE
not used
$100.00 plus $2.00 per mile
from point of pick up to point
of delivery
$75.00 plus 2.00 per mile
from point of pick up to
point of delivery
$100.00 plus $2.00 per mile
from point of pick up to point
of delivery and return to
point of origin inside City of
Paris
$60.00 plus $2.00 per mile
from point of pick up to point
of delivery
$100.00 plus $2.00 per mile
from point of pick up to point
of delivery and for return to
point of origin inside City of
Paris
$50.00 from hospital to treat-
ment facility and return to
hospital
$30.00
A usual, reasonable, and customary charge for medical
supplies and service used or required in connection with
pronounces the subject dead.
City and County agree that City
will not be required to transport any cadavers from~ny hospital.
19. It is agreed that all calls for emergency medical
service that are received by County shall be referred to the CITY
OF PARIS AMBULANCE SERVICE operated by City.
20. In the event that the County desires continued
emergency medical service beyond the end of' this contract, being
September 30, 1990, County shall give written notice to the City
on or before June 1, 1990, of its desire for service for an
additional term, and upon receipt of said notice on or before
June 20, 1990, City will deliver to County the rates and contract
price upon which it will deliver service, and thereafter on or
before July 1, 1990, County will execute the contract for service
for the additional term upon the same terms and conditions as
stated therein.
CITY OF PARIS
BY
Eric S. Clifford, Mayor
ATTEST:
Mattie Cunningham, City Clerk
APPROVED AS TO FORtl:
T. K. Haynes, City Attorney
COUNTY OF LAMAR,
STATE OF TEXAS
BY
Deane A. Loughmiller,
County Judge
ATTEST:
~ ~lS7.6t.
TEX.-\S DEPARTME:'lT OF HEALTH
Pl.!
(I)
(g)
(4) sp.:clahzed emerscnq mcdh:al SCrvICl:'J ...chld':1.
A permit is not transfer:J.bl(: from one vehicle to ;:another.
A reserve vehicle which is nOI routinely used as an E~IS vehicle shall apply for a permit undor lIIis ~ion. The
application shall include a request for a 'anance in ~157.7! of this tille (relating to RequO$! for. v.a.{ianQ:S r...m
Minimum Standards),
Sowrtr. The proviSIOns ormis 1151.66 adopted ~o be effective June S. 191-&.9 Tes.Rq 112).
Cross References;. This scction cited. in 25 TAC JIS7.7S (malin, to Spetia.liud Vcbic:Ic-RcqwRmeftts (ora Pamit).
~lS7.67. Basic Life Support Vehicle Requirements Cor a Permit.
(a) Staffing requirements. The requirements for staffing a BLS vehicle, when in service. shall be:
(I) from JanlW)' 1. 1984.lhrough December 31.1984. with at least two individuals. one ofwbom sbaII be IniDed
to tbe emergency care attendant level and the other sbaJ be the vebicle driver; and
(2) on and after Januar)' I, 1985, with at least two emergency care attendants.
(b) Provision of advanced care. Advance life support level of care may be provided on a BLS vehicle wben tbe vebicle:
(\) is staffed by an SS-EMT or P.EMT acting under medical supervision; and
(2) bas proP<'r advanced life support equipmenL
(c) Vehicle type specifiea/ions.
(I) Vehicles shall bave:
(A) 40 inches of head room in the patient compartment;
(B) air conditioning and heating in proP<'r working order in the patient companment; and
(q a multilevel stretcher capable of being secured to the vehicle.
(2) The patient compartment size should be 100 inches long by 62 inches wide without cabinets or 100 inches long
by 48 inches wide with cabinets,
(3) A vehicle holding P<'nnit prior to January I, 1984. issued under the authority of Texas Civil Statutes article
4S90b, sball not be required to meet the vebicle t)'pC specifications of this subsection. Any vehicle applying for
an initiaol P<'nnit sball meet the vehicle t)'pC specifications of this subsc<:tion.
(d) Required equipment. The foUowing BLS required equipment must be clean, in working order, and in sufficient
quantity to provide safe transport for patients in the individual service areas:
(I) one small. one medium, and one latie size extrication cervical collar (soft foam rubber cervical eolian are not
acceptable);
(2) one ponable suction apparatus witb wide tubing and suction tip (bulb syringe not acceptable);
(3) one bag mask unit with,adult and child sized masks which can be used with an extema! oxygen supply;
(4) one infant bag mask unit which can be used with an external oxygen supply;
(5) orophartngeal airways (nonmetallic) in adult, child, and infant sizes;
(6) one ponable oxygen unit with adequate tubing and semi-oP<'n valveless. transparent masks in adult and child
sizes;
(7) two clean, padded bite sticks;
(8) two multi-trauma dressings approximately 100inch by; 30-inch in size;
(9) a minimum or S dozen sterile gauzc pads;
(\0) one dozen sofl roller, adhering bandages;
(II) one.half dozen sterile P<'troleum jelly impregnated gauze or suitable occlusive dressing;
(12) foutrolls of adhesive taP<';
(13) four sterile burn sbeets;
(14) one traction splint with all attachments suitable for an adult and child; or one adult and one child traction splint;
(I S) padded board, cardboard, or aluminum splints as follows:
(A) two at least 1 S inches long by at least three inches wide;
(B) one alleast 48 inches long by at least three incbes wide; or
(C) may be, but not limited to, any of tbe following tyP<'s of splints:
(i) innatable splints;
(ii) foam.tyP<' rapid splints;
(iii) wire ladder splints;
(iv) commercial fracture pack;
(\6) long and short spine board to include:
(A) one long sis.root board or commereial device; and
(B) one short spine board or commerical device; or
(C) commeneat device which serves the purpose or both as provided in subsection d(t6XA) and (B);
Revision Nos. 2. 3 &. 4
350
c."..,.., C J'"St.uo(Tr.~ .,.JH"'/~...f,.""",_.
C:XHI!3IT A
Ch, 157
EMERGENCY MEDICAL CARE
25 ~ 157.68.
(17) one dozen lri.ngul.r band.ges;
(18) tWO pain of bandage shean; (t.ble shean are not acceptable);
(19) scaJed obstetrics kit which has been autoclaved or otherwise suitably steril.. with cigiratio,n date attached.
Commercial obstetrics kit is acceptable. A noncommercial kit must be,labeled and include the following:
(A) sterile gloves;
(B) one disposable sheet;
(C) cleansing cloths;
(D) umbilical clamps;
(E) nylong cord tie-offs;
(F) disposable scalpel;
(G) bulb aspiralor;
(H) four-inch by four-inch gauze sponges;
(I) obstetrical pad;
(1) receiving blanket;
(X) disposable towels; and
(L) plastic bag;
(20) nonporous infant insulating device;
(21) poison kit. The kit must include the following:
(A) Syrup of Ipecac; and
(B) activated charcoal or charcoal suspension (liquid);
(22) one adult and one child sphygmomanometer;
(23) stethoscope;
(24) Flashlight or penlight;
. (25) one multilevel stretcher with two clean sheets, two clean blankets, and two clean pillows with clean cases;
(26) two-way radio (citizen's bank radio and walkie-talkies are not acceptable); and
(27) f.... extinguisher. at least a one-quart chemical type,
(c) Recommended equipment. The following equipment is recommended in addition to the required ambulance
equipment:
(I) nasopharyngeal airway;
(2) emesis basin;
(3) medium size dressing (live-inch by nine-inch or eight-inch by to-inch);
(4) adhesive bandage strips;
(5) glucose or sugar for oral administration;
(6) cold packs;
(7) bvulb syringe (separated from aspirator included in obstetrics kit);
(8) plastic bags;
(9) paper bags; and
(10) sterile irrigation fluid.
Soarcc The provisions Oflhis!1 57.67 aduptcd to be effective June S. 1984, 9 TexRe:a 2823.
Cross Rtrerencn: This section cited in 25 TAC 11S1.7$ (~latinl to Specialized Vehicle Requirements tor a Permit); and 25
TACtIS7.79 (relatinl to Medical DireC'tion/Supervlsion of Prehospital Care).
(b)
~lS7.68. Advanced Life Support Vehicle Requirements for a Permit.
(a) Staffing requirements. The requirements for stamng an ALS vehicle shall be:
(I) The EMS providershall be capable of providing this level of care 24 houn per day, seven days per week.
(2) When in service. an ALS vehicle shall be staffed with two EMS personnel. one of whom shall be a B-EMT and
the other shall be a SS-EMT beginning March I, 1984.
Vehicle type specifications,
(I) General vehicular types shall be:
(A) Type I vehicle, class I or 2 shall be a chassis furnished with a two-door conventional cab, Chassis-cab
shall be suitable for subsequent mounting ofa modular (containerized). transferable equipped ambulance
body,
(i)
(ii)
Class I-Two rear wheel driven (four by (wo),
Class 2-Four wheel drivcn (four by four).
Rc\'ision Nos. 2. ) &. '"
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EXHIBIT B